职业治疗中的认知评估:定性分析
Anna E Boone1, Timothy S Marks2, Timothy J Wolf3
1Anna E. Boone, PhD, MSOT, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Missouri, Columbia; booneae@health.missouri.edu.
概括
职业治疗师经常使用非正式的方法进行认知评估,由于各种障碍,标准化测试的使用有限. 一个异常群体成功地使用基于绩效的功能认知测试,为更广泛的实施提供了见解.
科学领域:
- 职业疗法 职业疗法 职业疗法
- 认知康复 认知康复 认知康复
- 医疗保健实践 医疗保健实践
背景情况:
- 标准化的认知评估对于识别认知障碍和指导职业治疗服务至关重要.
- 在急症护理和住院康复机构的现行做法需要对认知评估的利用进行探索.
研究的目的:
- 调查在急性护理和住院康复的职业治疗服务中认知评估的当前做法.
- 确定职业治疗师在实施标准化认知评估时遇到的障碍.
主要方法:
- 一个定性,横截面的研究,涉及五个焦点小组与职业治疗从业者和主管的关键信息人采访.
- 收集了31名职业治疗从业者的数据,并使用感应内容分析进行了分析.
主要成果:
- 大多数职业治疗师依赖于非正式的方法,自我报告措施和基本的神经认知查工具,仅限于使用基于表现的测试 (PBT) 等标准化测试.
- 确定的主要障碍包括组织压力,难以获取和应用证据,工作场所文化,环境因素和评估复杂性.
- 确定了一个异常群体,他们始终使用PBT进行功能认知评估.
结论:
- 职业治疗实践主要采用非标准化的认知评估方法,不经常使用标准化工具.
- 识别的个人和组织障碍与现有文献一致,阻碍了采用基于证据的评估.
- 异常群体成功整合PBT为克服实施障碍和推进基于证据的实践提供了一个模型.
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